Supplementary Material for: Repair of a Large Nasal Ala and Medial Cheek Defect

Introduction- Mohs micrographic surgery is a complex, but essential aspect of functional and cosmetic skin cancer removal. It allows for skin cancers to be removed from cosmetically challenging areas in the most efficient and effective possible method; however, closure of these lesions can be difficult. Case- An 80-year-old male presented for Mohs surgery of a basal cell carcinoma on the right nasal sidewall that measured 3.4cm. The patient underwent seven stages of Mohs surgery and the final defect measured 6.5cm x 5.5cm, resulting in a large area for closure with multiple cosmetic and functional units affected. Discussion- This case discusses options for complex closure of large defects on the nose, and the reasoning behind the final choice in closure.